OUTCOME OF ACUTE RENAL FAILURE IN CHILDREN WITH DIABETIC KETO ACIDOSIS (DKA)
Poovazhagi V, Prabha Senguttuvan, Padmaraj R
Diabetic Clinic, Institute of Child Health and Hospital for Children, Chennai
Abstract

The presentation and outcome of acute renal failure in children with diabetic ketoacidosis (DKA) were analyzed. Of the 130 DKA episodes treated at the Pediatric Intensive Care Unit (PICU), 15 children (11.5%) had renal failure. Sepsis and shock were the common etiological factors. Mortality in ARF complicating DKA was 40%. Persistent acidosis requiring bicarbonate therapy, reduction in intravenous fluid volume, reduced dose of insulin and peritoneal dialysis were the modifications in the treatment for this life-threatening complication.
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